National Provider Identifier Database

RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
75 S WYOMING AVE STE 2&3
EDWARDSVILLE, PA18704-3103
Phone: 570-704-4233
Fax: 570-763-4489
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Medical Specialty 261QM2500X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA

NPI Number 1477655744
Legal business name
LBN
RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
Authorized official MATTHEW ISKRA - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 09/05/2006
Last updated 10/26/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 1007296090047

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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